{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,6,22]],"date-time":"2026-06-22T15:51:24Z","timestamp":1782143484368,"version":"3.54.5"},"reference-count":138,"publisher":"Frontiers Media SA","license":[{"start":{"date-parts":[[2026,6,22]],"date-time":"2026-06-22T00:00:00Z","timestamp":1782086400000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0\/"}],"funder":[{"DOI":"10.13039\/100013228","name":"R\u00e9seau qu\u00e9b\u00e9cois de recherche sur le vieillissement","doi-asserted-by":"publisher","id":[{"id":"10.13039\/100013228","id-type":"DOI","asserted-by":"publisher"}]},{"DOI":"10.13039\/501100000155","name":"Social Sciences and Humanities Research Council of Canada","doi-asserted-by":"publisher","id":[{"id":"10.13039\/501100000155","id-type":"DOI","asserted-by":"publisher"}]}],"content-domain":{"domain":["frontiersin.org"],"crossmark-restriction":true},"short-container-title":["Front. Public Health"],"abstract":"<jats:sec>\n                    <jats:title>Background<\/jats:title>\n                    <jats:p>Workers living with chronic illness or fulfilling caregiving responsibilities may encounter specific challenges in maintaining employment, often necessitating workplace accommodations. The rise of telework following the COVID-19 pandemic has drawn attention to its potential as an accommodation measure, notably by offering greater flexibility, facilitating work\u2013life balance, and reducing physical and logistical barriers to job retention.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods<\/jats:title>\n                    <jats:p>This qualitative study examined the experiences of individuals with chronic illness or caregiving responsibilities who use telework as an accommodation, with specific attention to the employee\u2013manager relationship within this context. Using an interpretive descriptive design, two focus group discussions were conducted with 12 participants. Among participants, eight identified as workers with chronic illness, and four as caregivers.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>Four key themes emerged regarding challenges in the employee\u2013manager relationship: negotiation of accommodations, management of telework, clarification and respect of boundaries, and maintenance of social connections. Findings underscore the importance of the quality of the employee\u2013manager relationship and the critical role of trust, as framed within leader-member exchange (LMX) theory.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusions<\/jats:title>\n                    <jats:p>Strengthening trust and addressing workplace stigmas related to health status are crucial to fostering equitable telework accommodations, particularly in the context of labor shortages. Raising organizational awareness to break stereotypes and promote inclusivity is essential. Further research is needed to assess telework as a flexible and inclusive solution to support workers with health-related challenges or caregiving responsibilities.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.3389\/fpubh.2026.1786980","type":"journal-article","created":{"date-parts":[[2026,6,22]],"date-time":"2026-06-22T15:32:22Z","timestamp":1782142342000},"update-policy":"https:\/\/doi.org\/10.3389\/crossmark-policy","source":"Crossref","is-referenced-by-count":0,"title":["The experience of employees using telework as an accommodation for health-related reasons: the importance to focus on the employee\u2013manager relationship"],"prefix":"10.3389","volume":"14","author":[{"given":"Alexandra","family":"Lecours","sequence":"first","affiliation":[{"name":"Department of Occupational Therapy, Universit\u00e9 du Qu\u00e9bec \u00e0 Trois-Rivi\u00e8res","place":["Trois-Rivi\u00e8res, QC, Canada"]},{"name":"Center for Interdisciplinary Research in Rehabilitation and Social Integration","place":["Qu\u00e9bec, QC, Canada"]}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Lauriane","family":"Drolet","sequence":"additional","affiliation":[{"name":"Department of Occupational Therapy, Universit\u00e9 du Qu\u00e9bec \u00e0 Trois-Rivi\u00e8res","place":["Trois-Rivi\u00e8res, QC, Canada"]}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Alex-Anne","family":"Beaulieu","sequence":"additional","affiliation":[{"name":"Department of Occupational Therapy, Universit\u00e9 du Qu\u00e9bec \u00e0 Trois-Rivi\u00e8res","place":["Trois-Rivi\u00e8res, QC, Canada"]}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Roxanne","family":"B\u00e9dard-Mercier","sequence":"additional","affiliation":[{"name":"Department of Occupational Therapy, Universit\u00e9 du Qu\u00e9bec \u00e0 Trois-Rivi\u00e8res","place":["Trois-Rivi\u00e8res, QC, Canada"]}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Joanie","family":"Maclure","sequence":"additional","affiliation":[{"name":"Department of Occupational Therapy, Universit\u00e9 du Qu\u00e9bec \u00e0 Trois-Rivi\u00e8res","place":["Trois-Rivi\u00e8res, QC, Canada"]}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"1965","published-online":{"date-parts":[[2026,6,22]]},"reference":[{"key":"B1","unstructured":"Ottawa, ON\n          Public Health Agency of Canada\n          Prevalence of Chronic Diseases among Canadian Adults [Internet]\n          \n          2019"},{"key":"B2","doi-asserted-by":"publisher","first-page":"69","DOI":"10.1007\/s41542-020-00078-x","article-title":"Working through the pain: the chronic pain experience of full-time employees","volume":"5","author":"Gulseren","year":"2021","journal-title":"Occup Health Sci."},{"key":"B3","doi-asserted-by":"publisher","first-page":"287","DOI":"10.1093\/occmed\/kqq078","article-title":"Workplace problems and solutions for employees with chronic diseases","volume":"60","author":"Varekamp","year":"2010","journal-title":"Occup Med."},{"key":"B4","unstructured":"L'Appui\n              pour les proches aidants\n            \n          \n          Enqu\u00eate statistique sur la proche aidance au Qu\u00e9bec en 2022 [Statistical Survey on Caregiving in Quebec in 2022] [Internet]\n          \n          2022"},{"key":"B5","doi-asserted-by":"publisher","first-page":"12101","DOI":"10.3390\/ijerph182212101","article-title":"Informal caregiving, loneliness and social isolation: a systematic review","volume":"18","author":"Hajek","year":"2021","journal-title":"Int J Environ Res Public Health."},{"key":"B6","doi-asserted-by":"publisher","first-page":"e221","DOI":"10.1200\/JOP.19.00410","article-title":"Employment outcomes, financial burden, anxiety, and depression among caregivers of African American cancer survivors","volume":"16","author":"Hastert","year":"2020","journal-title":"JCO Oncol Pract."},{"key":"B7","doi-asserted-by":"publisher","first-page":"217","DOI":"10.1080\/02678373.2020.1832609","article-title":"Caregiver burden, work-family conflict, family-work conflict, and mental health of caregivers: a mediational longitudinal study","volume":"35","author":"Kayaalp","year":"2021","journal-title":"Work Stress."},{"key":"B8","doi-asserted-by":"publisher","first-page":"113281","DOI":"10.1016\/j.socscimed.2020.113281","article-title":"Psychosocial consequences of transitioning into informal caregiving in male and female caregivers: findings from a population-based panel study","volume":"264","author":"Zwar","year":"2020","journal-title":"Soc Sci Med."},{"key":"B9","doi-asserted-by":"publisher","first-page":"27","DOI":"10.1177\/0894439306293819","article-title":"Which telework? 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